Physician
Tri-County Pediatrics, INC
Tri-County Pediatrics, INC was paid $7.61M by Medicaid between May 2018 and Dec 2024, across 60 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 21% of everything it billed.
33Billing provider infoTRI-COUNTY PEDIATRICS, INC
ELKINS PARK, PA 19027
ELKINS PARK, PA 19027
33aNPI1235176397assigned 05/31/2006
33bProvider typePediatrics Physician
28Total paid$7.61M
24GClaims266,797
24DCodes billed60
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#10 of 1,257
Median peer was paid$45K
This provider vs. median168×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,997 | $39K | |
| 2019 | 5,227 | $95K | |
| 2020 | 19,790 | $429K | |
| 2021 | 73,315 | $2.00M | |
| 2022 | 62,257 | $1.69M | |
| 2023 | 54,007 | $1.81M | |
| 2024incomplete | 50,204 | $1.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 16,579 | 16,128 | $1.63M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 13,012 | 12,504 | $1.21M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 12,446 | 12,052 | $1.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 36,921 | 34,843 | $977K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.5% | 7,350 | 7,068 | $646K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.2% | 26,644 | 25,882 | $625K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.3% | 8,733 | 8,367 | $326K |
| 92551 | 2.8% | 17,888 | 17,177 | $216K | |
| 90461 | 2.4% | 12,258 | 11,966 | $182K | |
| 99499 | 1.9% | 4,963 | 4,891 | $148K | |
| 90700 | <1% | 6,288 | 6,099 | $69K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,359 | 4,078 | $42K |
48 more codes
| 99173 | <1% | 19,220 | $38K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,946 | $30K |
| 90651 | <1% | 2,323 | $27K | |
| 90734 | <1% | 1,639 | $26K | |
| 90688 | <1% | 1,830 | $22K | |
| 90670 | <1% | 5,838 | $22K | |
| 0072A | <1% | 584 | $20K | |
| 99381 | <1% | 292 | $19K | |
| 90713 | <1% | 4,770 | $18K | |
| 90648 | <1% | 4,826 | $17K | |
| 90686 | <1% | 5,181 | $16K | |
| 90680 | <1% | 3,996 | $16K | |
| 96127 | <1% | 7,634 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 165 | $15K |
| 90716 | <1% | 3,361 | $12K | |
| 90707 | <1% | 3,229 | $12K | |
| 90633 | <1% | 3,646 | $11K | |
| 99401 | <1% | 388 | $9K | |
| 0002A | <1% | 279 | $9K | |
| 3008F | <1% | 4,949 | $8K | |
| 0001A | <1% | 468 | $8K | |
| 90677 | <1% | 1,243 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 824 | $7K |
| 0071A | <1% | 649 | $5K | |
| 90697 | <1% | 866 | $4K | |
| 90715 | <1% | 1,208 | $4K | |
| 90744 | <1% | 3,823 | $4K | |
| 99383 | <1% | 59 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 200 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 207 | $3K |
| 90656 | <1% | 617 | $3K | |
| 90687 | <1% | 313 | $2K | |
| 83655 | <1% | 433 | $2K | |
| 90619 | <1% | 687 | $2K | |
| 99051 | <1% | 1,627 | $2K | |
| 96160 | <1% | 1,050 | $673.50 | |
| 90698 | <1% | 274 | $563.02 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 332 | $528.98 |
| 96161 | <1% | 713 | $417.78 | |
| 90696 | <1% | 212 | $199.00 | |
| 85018 | <1% | 456 | $84.91 | |
| 86580 | <1% | 54 | $61.24 | |
| G9920 | Screening performed and negative | <1% | 1,738 | $61.20 |
| 94760 | <1% | 59 | $1.98 | |
| 90710 | 0% | 97 | $0.00 | |
| 90681 | 0% | 18 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 16 | $0.00 |
| 81003 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJAFFEE, LEE (MANAGING PARTNER)